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ICD611S - INTERNATIONAL CLASSIFICATION OF DISEASE 1A - 1ST OPP - NOVEMBER 2024 |
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n Am I BI A u n IVERs ITY
OF SCIEnCEAnDTECHnOLOGY
FacultyofHealthN, atural
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Sciences
Schoool f HealthScience5
Departmenot f Preventative
HealthSciences
13Ja:ksonKaujeuaStreet T: •26'1512072970
Priva,e Bag 13388
F: ~264 51207 957J
Windhoek
E: dphs@nu~tna
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QUALIFICATION : BACHELOR OF SCIENCE IN HEALTH INFORMATION SYSTEMS
MANAGEMENT
QUALIFICATION CODE: 07BHSM
LEVEL:6
COURSE: INTERNATIONAL CLASSIFICATION OF DISEASE lA COURSECODE: ICD611S
DATE: NOVEMBER 2024
SESSION: 1
DURATION: 3 HOURS
MARKS: 100
EXAMINER:
MODERATOR:
FIRST OPPORTUNITY: EXAMINATION QUESTION PAPER
MS INDAA PAULUS
DR LARAI AKU-AKAI
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This must be allowed for the
examiner.
4. No books, notes and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
6. Students are allowed to refer to only 3 volumes of ICD-10 CM Pdf file. No other Windows
& Internet applications are allowed.
PERMISSIBLE MATERIALS
1. Three volumes of ICD-10 CM Pdf
ATTACHMENTS
1. None
This question paper consists of 5 pages including this front page.
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SECTION A: TRUE/ FALSE
QUESTION 1
[10 MARKS)]
(10)
1. Evaluate the statements and select whether the statement is True or False. Write the word
'True' or 'False' next to the corresponding number on your ANSWER SHEET.Each question
carries 1 (one) mark.
1.1 An ambidextrous patient with flaccid hemiplegia, the code selection will be non-dominant.
1.2 The ICD-10-CMis divided into the Alphabetic Index a structured list of codes divided into chapters
based on body system or condition and the Tabular List, an alphabetical list of terms and their
corresponding codes.
1.3 For reporting purposes only codes are permissible, not categories or subcategories, and any
applicable 7th character is required.
1.4 The abbreviation NEC in the alphabetic index represents "other specified' equivalent of
unspecified.
1.5 Certain conditions have both an underlying aetiology and multiple body system manifestations.
For such conditions, the ICD10-CM coding convention requires the manifestation be sequenced
first followed by the underlying condition.
1.6 A combination code is a code used to classify two diagnoses.
1.7 Whether the patient is newly diagnosed or has had previous encounters for HIV conditions is
irrelevant to the sequencing decision.
1.8 Colonization means that Methicillin Susceptible Staphylococcus aureus (MSSA} is absent in the
body and not necessarily causing illness.
1.9 Multiple neoplasms of the same site that are not contiguous should be classified to the
subcategory/code for overlapping lesions.
1.10 When the provider documentation refers to use, abuse, and dependence of different substances,
only one code should be assigned to identify the pattern of use.
INTERNATIONAL CLASSIFICATIONOF DISEASE1A (ICD611S}
1st Opportunity November 2024
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SECTIONB: SHORTANSWERQUESTIONS
QUESTION 2
[25 MARKS)~
(25)
2. Code the following diagnostic terms using ICD- 10CM. Write the appropriate code next to the
number of the statement/phrase in the ANSWERBOOK.Each question carries 1 {one) mark.
2.1 Shy-Drager syndrome.
2.2 Personal history of in-situ neoplasm of cervix uteri.
2.3 Prophylactic vaccination against smallpox.
2.4 Clinic visit for pre-employment physical examination.
2.5 Hodgkin's Disease.
2.6 Subarachnoid hemorrhage, nontraumatic.
2.7 Biotinidase deficiency.
2.8 Initial encounter for fatigue fracture of vertebra.
2.9 Fever and shortness of breath due to pneumonia.
2.10 Diabetic retinopathy with type 1 diabetes.
2.11 Abdominal pain due to chronic and acute cholecystitis.
2.12 Bronchopneumonia due to Hemophilus influenzae.
2.13 Candidiasis of the mouth (thrush).
2.14 Enteritis due to Clostridium difficile.
2.15 Cerebrovascular accident, ischemic.
2.16 Respiratory Syncytial Virus (RSV)infection.
2.17 Multiple myeloma.
2.18 Acute blood-loss anemia.
2.19 Staphylococcal arthritis, right ankle and foot.
2.20 Cerebral infarction due to thrombosis, brain.
2.21 Chest pain during breathing.
2.22 Psychogenic impotence.
INTERNATIONAL CLASSIFICATIONOF DISEASE1A (ICD611S)
pt Opportunity November 2024
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2.23 Croup.
2.24 Psychogenic impotence.
2.25 Tubular adenoma of the descending colon.
SECTION C: SEMI- STRUCTURED ANSWER QUESTIONS
QUESTION 3
[45 MARKS)
(45)
3. Identify the most suitable codes from ICD-10 CM by using chapter specific guidelines for the
following cases. Each question carries 3 (three) marks. Sequencing carries 1 (one) mark
3.1 Mr Thomas is admitted to Mariental hospital with chest and epigastric pain. He is evaluated by
the emergency department physician with a diagnosis of Myocardial Infarction rule out. He is
transferred to Katutura Intermediate Hospital for further evaluation.
3.2 Johanna was involved in a traumatic accident years ago in which her neck was injured. Today
she is being seen for pain management due to chronic neck pain.
3.3 A 20-year-old male is admitted with bacterial Endocarditis due to Methicillin Resistant
Staphylococcus Aureus (MRSA}.
3.4 Pre-existing type 2 Diabetes Mellitus in pregnancy with current use of insulin.
3.5 Chronic Obstructive Pulmonary Disease (COPD), unspecified with uncomplicated mild
persistent asthma.
3.6 Severe Sepsisdue to Pseudomonas with septic shock.
3.7 Acute Osteomyelitis of left distal femur due to type 2 Diabetes with Diabetic Arthropathy.
3.8 Acute Cerebral Infarction due to Thrombosis of the left anterior cerebral artery with residual
right-sided hemiplegia.
3.9 Patient present for a chemotherapy treatment due to primary, malignant ovarian cancer of the
left ovary.
3.10 A female patient with breast cancer reports to the outpatient department for a
chemotherapy session. The patient receives health care services for treatment of
cancer.
3.11 Swyer-James syndrome with an unspecified length of tobacco use.
3.12 37-year-old Anna with advanced Human Immunodeficiency Virus (HIV) and is admitted
with red purplish spots and severe leg swelling. The patient is diagnosed with Kaposi
Sarcoma.
3.13 Mr Thomas subsequently presents to the physician's office for obesity resulting from the
INTERNATIONAL CLASSIFICATIONOF DISEASE1A (ICD611S)
1st Opportunity November 2024
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'(
previous prescription drug Tetracyclines.
3.14 Dawid was recently diagnosed with severe Hypertensive Chronic Kidney Disease(CKD),
stage 4.
3.15 Cellulitis of the face due to Staphylococcal aureus.
SECTION D: STRUCTURED ANSWER QUESTIONS
QUESTION 4
[20 MARKS]
(20)
4. Identify the most suitable codes from ICD-10CM by using chapter specific guidelines for
the following scenarios. Sequencing carries 1 (one) mark.
4.1 A patient with malignant, primary neoplasm of the pylorus has been receiving chemo-
theraphy and develops dehydration as a side effect of the chemotherapy. Today's
encounter is only for treatment of the dehydration.
(4)
4.2 A patient is admitted with pneumonia and acute hypoxic respiratory failure. On day three
the patient worsens and becomes hypotensive with fever and tachycardia and is diagnosed
with sepsis, septic shock, and acute renal failure. On the discharge summary, pneumonia
is documented as the principal diagnosis.
(6)
4.3 Patient has type 1 Diabetes with hyperglycemia due to mechanical breakdown of insulin
pump, which resulted in underdosing.
(4)
4.4 Secondary Parkinsonism due to prescribed Thorazine, subsequent encounter.
(2)
4.1 A 25-year-old was diagnosed with stage three kidney disease with Congestive Heart
Failure (CHF)due to hypertension.
(4)
END OF EXAMINATION QUESTION PAPER
INTERNATIONAL CLASSIFICATIONOF DISEASE1A {ICD611S}
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